New Topics and Topic Updates

What's New in the Healthwise® Knowledgebase

Version 10.3

October 2014

What's New in the Healthwise Knowledgebase lists new documents, noteworthy enhancements to existing documents, and medically significant changes to existing documents. We do not list every change, such as editorial changes, made for this release. Refer to Tech Docs for a complete list of new and updated documents.

New Health and Disease Topics

Enhanced Content

New NCI Topics

New Medication Topics

New Aisle 7 (CAM) Content

Decision Point Updates

Health and Disease Topic Updates

Medical Test Topic Updates

Symptom Topic Updates

NCI Topic Updates

Medication Topic Updates

Aisle 7 (CAM) Content Updates

Topic Title Changes and Topic Replacements

Medical Guideline Reviews

What's Next

New Health and Disease Topics

Anemia: This new topic describes anemia and provides information about its cause, how it is diagnosed, and how it is treated.

Childbirth: Is Planning a C-Section a Good Choice?: This new topic discusses the reasons some pregnant woman want to plan a C-section for nonmedical reasons. It explains the risks of C-sections and when they might be done for medical and nonmedical reasons. It also mentions that the American College of Obstetricians and Gynecologists recommends that planned C-sections generally be done only for medical reasons.

Childbirth Planning: How to Partner With Your Doctor: This new topic looks at how women and their partners can form a good working relationship with their doctor or nurse-midwife during pregnancy. It discusses the kinds of issues women might want to talk about. These include pain control during labor, who they want with them during labor, and creating a birth plan.

Ebola or Marburg Virus Infection: This new topic describes the Ebola and Marburg virus infections. It includes information on symptoms, treatment, and prevention.

Enterovirus 68 (EV-D68): This new topic describes enterovirus 68. It includes information on symptoms, treatment, home treatment for adults and children, and when to call the doctor.

Neutropenia: Preventing Infections: This new topic explains how neutropenia increases the risk of infection, provides tips on how to prevent infections, and lists common signs of infection.

Spirituality and Your Health: This new topic discusses spirituality as a personally defined facet of many people's lives that can enhance wellness. The reader can use this topic to think about spiritual wellness and to explore ideas for tending to the spirit.

Enhanced Content

Breast Changes During Pregnancy: This topic was enhanced to include more specific information on breast changes during each of the three trimesters. We also added tips for home care.

Nutrition While Breast-Feeding: This topic was enhanced to include information on the use of artificial sweeteners during pregnancy and breast-feeding.

New NCI Topics

Refer to Tech Docs for a complete list of new National Cancer Institute content.

New Medication Topics

Medication topics from
Cerner Multum, Inc., are not included in all systems. Added topics may include new information and/or the addition of new drug names.
Refer to Tech Docs for a complete list of new titles.

New Aisle 7 (CAM) Content

Refer to Tech Docs for a complete list of new Aisle 7 (CAM) content.

Decision Point Updates

We continually monitor changes in medicine to ensure our topics are accurate and up-to-date. In the following documents, we made medically significant revisions, added new medical information, or removed outdated medical information. While medically significant changes are listed here, documents that have minor revisions, such as editorial or consistency changes, are not listed.

We made changes based on the American Heart Association/American College of Cardiology/Heart Rhythm Society 2014 Guideline for the Management of Patients with Atrial Fibrillation.

Health and Disease Topic Updates

We continually monitor changes in medicine to ensure our topics are accurate and up-to-date. In the following documents, we made medically significant revisions, added new medical information, or removed outdated medical information. While medically significant changes are listed here, documents that have minor revisions, such as editorial or consistency changes, are not listed.

Diabetes: Blood Sugar Levels: Based on the American Diabetes Association's 2014 position statement Type 1 Diabetes Through the Life Span, we updated target A1c for children younger than 18 who have type 1 diabetes.

Diabetes: Tests to Watch for Complications: Based on the American Diabetes Association's 2014 position statement Type 1 Diabetes Through the Life Span, we updated target A1c for children younger than 18 who have type 1 diabetes.

Low Testosterone: We added a warning about the risk of blood clots in the veins, based on new information from the FDA.

Mitral Valve Prolapse: We reduced the amount of information on treatment for mitral valve prolapse. We emphasize that most people lead normal, healthy lives. We emphasize that few people have symptoms or need treatment.

Medical Test Topic Updates

We continually monitor changes in medicine to ensure our topics are accurate and up-to-date. In the following documents, we made medically significant revisions, added new medical information, or removed outdated medical information. While medically significant changes are listed here, documents that have minor revisions, such as editorial or consistency changes, are not listed.

Glycohemoglobin (HbA1c, A1c): Based on the American Diabetes Association's 2014 position statement Type 1 Diabetes Through the Life Span, we updated target A1c for children younger than 18 who have type 1 diabetes.

Symptom Topic Updates

We continually monitor changes in medicine to ensure our topics are accurate and up-to-date. In the following documents, we made medically significant revisions, added new medical information, or removed outdated medical information. While medically significant changes are listed here, documents that have minor revisions, such as editorial or consistency changes, are not listed.

Home Treatment: Information on the use of a saline or water-based lubricant replaced the information on the use of Vaseline (petroleum jelly) for treatment after a nosebleed.

NCI Topic Updates

Refer to Tech Docs for a complete list of updated National Cancer Institute content.

Medication Topic Updates

Medication topics
from Cerner Multum, Inc. are not included in all
systems. Updates may include new information and/or the addition of new drug
names. Refer to Tech Docs for a complete list of updated titles.

Drug details

Healthwise is changing its drug content policy. As part of this policy, we will be archiving all Healthwise drug details over the next several quarters. Healthwise will continue to provide hundreds of other pieces of drug content as well as nearly 2000 pieces on specific medications for those clients who license Multum.

We will now focus on the drugs tied to quality measures issued by organizations such as NCQA, the Joint Commission, and the Centers for Medicare and Medicaid Services. For these drugs, we will be adding new consumer-facing content as well as content that provides a behavioral approach to medication adherence.

Refer to Tech Docs for a complete list of drug details that were archived this quarter.

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